William T Wake
Medical Specialty
Professional ID
- NPI: 1851468672
- PECOS ID: 2062543119
- Enrollment ID: I20100706000562
- Credential(MD, DO, DPM):
- Medical School: University Of Texas Southwestern Medical School At Dallas
- Medical School Graduation Year: 1981
Medical Practices
- Organization Name: Southern California Permanente Medical Group
- Group Practice ID assigned by PECOS: 6002729175
- Number of Group Practice member: 8102
Location
- Address1: 1011 Balwin Park Blvd
- Address2:
- City: Baldwin Park
- State: California
- Zip Code: 91706
- Phone Number: (626)851-1011
Location
- Address1: 1255 W Arrow Hwy
- Address2:
- City: San Dimas
- State: California
- Zip Code: 91773
- Phone Number: (909)394-2526
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):